Dr Jordan Russell Roberts, MD - Medicare Family Practice in Holladay, UT

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Dr Jordan Russell Roberts, MD is a medicare enrolled "Family Medicine" physician in Holladay, Utah. He went to University Of Arizona College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc, Utah Healthcare Institute Inc and his current practice location is 999 E Murray Holladay Rd Ste 207, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 268-2584.

Dr Jordan Russell Roberts is licensed to practice in Utah (license number 9897039-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588043871.

Contact Information

Dr Jordan Russell Roberts, MD
999 E Murray Holladay Rd Ste 207,
Holladay, UT 84117-5093
(801) 268-2584
(801) 262-1168

Map and Direction




Physician's Profile

Full NameDr Jordan Russell Roberts
GenderMale
SpecialityFamily Practice
Experience9 Years
Location999 E Murray Holladay Rd Ste 207, Holladay, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jordan Russell Roberts attended and graduated from University Of Arizona College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1588043871
  • Provider Enumeration Date: 05/20/2015
  • Last Update Date: 09/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8426354994
  • Enrollment ID: I20180611001538

Medical Identifiers

Medical identifiers for Dr Jordan Russell Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588043871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9897039-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mark's HospitalSalt lake city, UTHospital
Intermountain Medical CenterMurray, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Granger Medical Clinic Pc3476465691115
Granger Medical Specialists Llc4587074356157
Utah Healthcare Institute Inc771988256212

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jordan Russell Roberts allows following entities to bill medicare on his behalf.
Entity NameGranger Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159
Entity NameUtah Healthcare Institute Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597344
PECOS PAC ID: 7719882562
Enrollment ID: O20031204000492
Entity NameGranger Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Russell Roberts is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jordan Russell Roberts, MD
999 E Murray Holladay Rd Ste 207,
Holladay, UT 84117-5093

Ph: (801) 268-2584		Dr Jordan Russell Roberts, MD
999 E Murray Holladay Rd Ste 207,
Holladay, UT 84117-5093

Ph: (801) 268-2584

Reviews and Comments


Family Medicine Doctors in Holladay, UT

Dr. Douglas Roland Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4544 S Holladay Blvd, Holladay, UT 84117
Phone: 801-682-6817    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.